Registration - Ida Ballard Simon Golf Tournament

Team Name*

How many golfers are you paying for?*

1 - $125 ($100 if paid on or before March 16th, 2024; $112.50 if paid on or before April 1st, 2024) - Donate Now
2 - $250 ($200 if paid on or before March 16th, 2024; $225.00 if paid on or before April 1st, 2024) - Donate Now
3 - $375 ($300 if paid on or before March 16th, 2024; $337.50 if paid on or before April 1st, 2024) - Donate Now
4 - $500 ($400 if paid on or before March 16th, 2024; $450.50 if paid on or before April 1st, 2024) - Donate Now

Golfer 1 Name*

First Last

Golfer 1 Address*

Street Address City State ZIP Code

Golfer 1 Email*

Golfer 1 Phone*

Golfer 2 Name*

First Last

Golfer 2 Address*

Street Address City State ZIP Code

Golfer 2 Email*

Golfer 2 Phone*

Golfer 3 Name*

First Last

Golfer 3 Address*

Street Address City State ZIP Code

Golfer 3 Email*

Golfer 3 Phone*

Golfer 4 Name*

First Last

Golfer 4 Address*

Street Address City State ZIP Code

Golfer 4 Email*

Golfer 4 Phone*

How did you hear about us?*

Estimated Total: $450

Comments

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